NCC230147_NOI 123054 Payment Verification_20230119

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 1/18/2023 7:01:42 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 1/18/2023 7:22:44 AM (Review - NOI 123054 Hollar residence)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 1/18/2023 7:01 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: January 23, 2023 5:00
PM 1/18/2023 7:01 AM
by Workflow 1/18/2023 7:22:51 AM (Workflow Start Event)
Submit by Holloman, Tevye L 1/19/2023 8:13:24 AM (Payment Verification for NCC230147)
F Josh E Hollar
Holloman, Tevye L assigned the task to Holloman, Tevye L 1/19/2023 8:12 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: March 1, 2023 5:00 PM
1/18/2023 7:22 AM

5 A7
Payment •
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Hollar residence
Lot Numbers
(If listed on the eNOI)
168
NC Reference No.*
NCG01-2023-0147
Certificate of
NCC230147
Coverage (COC) No.*
Invoice Date
1/18/2023
Initial Invoice No.
NCC230147-2023
Initial Fee
$ 100.00
Invoice Due Date
2/17/2023
Important: If you change the choice below to Payment NOT RECEIVED, the application will be rejected, and a COC will
not be issued. This is the ONLY way to reject an eNOI at this step.
Payment Received*
• Payment Received.
Payment NOT RECEIVED.
Payment Status
PAID
Date Payment
1/19/2023
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
672243804
Transaction Number*
NOI Tracking No.
123054
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-CALDW-2023-Hollar residence